NPI | 1669799912 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 6654227-3902) |
Additional Taxonomies | 253J00000X Foster Care Agency (Licence: UT 6654227-3902) |
Enumeration Date | 2010-04-27 |
Last Update Date | 2010-04-27 |