NPI | 1841303781 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 003843-042050) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 11053) |
Enumeration Date | 2006-08-16 |
Last Update Date | 2025-09-11 |