| NPI | 1942348644 |
|---|---|
| Former Name | BETH DISBRO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 9463) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 1937) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2007-12-10 |