NPI | 1013679125 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 86962) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 86962) |
Enumeration Date | 2021-10-06 |
Last Update Date | 2024-04-05 |