NPI | 1043461718 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: UT 313308-6004) |
Additional Taxonomies | 101Y00000X Counselor (Licence: UT 313308-6004) |
101YM0800X Counselor, Mental Health (Licence: UT 313308-6004) | |
Enumeration Date | 2008-09-30 |
Last Update Date | 2008-09-30 |