NPI | 1861706830 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 201256) |
Additional Taxonomies | 101Y00000X Counselor (Licence: TX 64853) |
Enumeration Date | 2010-08-02 |
Last Update Date | 2010-08-02 |