NPI | 1659424695 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 5192) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 19684) |
Enumeration Date | 2007-01-21 |
Last Update Date | 2011-07-29 |