NPI | 1912113341 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 15836) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 004810-005277) |
Enumeration Date | 2007-05-15 |
Last Update Date | 2021-11-03 |