NPI | 1952662850 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 64503) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 201203) |
Enumeration Date | 2012-06-06 |
Last Update Date | 2022-01-06 |