NPI | 1053545632 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 62977) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C10305) |
Enumeration Date | 2009-05-11 |
Last Update Date | 2025-09-26 |