NPI | 1720143225 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 16459) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 4943) |
Enumeration Date | 2006-12-26 |
Last Update Date | 2017-04-20 |