NPI | 1942451869 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 13816115-3902) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 13816115-3902) |
Enumeration Date | 2008-10-09 |
Last Update Date | 2024-12-05 |