NPI | 1912154295 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 10534) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 002480) |
Enumeration Date | 2008-08-19 |
Last Update Date | 2008-08-19 |