NPI | 1962486134 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 15592) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 5054) |
Enumeration Date | 2005-12-01 |
Last Update Date | 2007-07-08 |