NPI | 1073022265 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 95019) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH61377420) |
Enumeration Date | 2017-09-20 |
Last Update Date | 2024-05-03 |