NPI | 1013568054 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 72587) |
Additional Taxonomies | 101Y00000X Counselor (Licence: TX 72587) |
101YM0800X Counselor, Mental Health (Licence: TX 72587) | |
101YS0200X Counselor, School | |
Enumeration Date | 2019-09-20 |
Last Update Date | 2019-09-20 |