NPI | 1003124801 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 65441) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 65441) |
Enumeration Date | 2010-09-15 |
Last Update Date | 2010-09-15 |