NPI | 1861538449 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 04116LPC) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 02284LMFT) |
Enumeration Date | 2007-01-30 |
Last Update Date | 2009-07-19 |