NPI | 1659473114 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 4223) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 00791) |
Enumeration Date | 2006-09-03 |
Last Update Date | 2025-09-11 |