NPI | 1760423875 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 8489) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 004162042224) |
Enumeration Date | 2006-06-09 |
Last Update Date | 2025-09-11 |