NPI | 1790405355 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 203798) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 203798) |
Enumeration Date | 2022-09-01 |
Last Update Date | 2023-04-06 |