NPI | 1033549829 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 67496) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NY 012534) |
101YP2500X Counselor, Professional (Licence: CO 0017504) | |
101YP2500X Counselor, Professional (Licence: TX 67496) | |
Enumeration Date | 2013-11-15 |
Last Update Date | 2024-05-09 |