NPI | 1669033239 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 202843) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 77345) |
Enumeration Date | 2019-06-25 |
Last Update Date | 2023-10-18 |