NPI | 1053847251 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 88000389A) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 93611) |
Enumeration Date | 2017-05-08 |
Last Update Date | 2024-12-20 |