NPI | 1992945521 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 63013) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 201147) |
Enumeration Date | 2009-02-22 |
Last Update Date | 2010-12-29 |