NPI | 1730223678 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: TX 5032) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 005032041431) |
Enumeration Date | 2007-02-16 |
Last Update Date | 2024-01-29 |