NPI | 1073948089 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 94244) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC61028307) |
Enumeration Date | 2013-09-10 |
Last Update Date | 2024-08-26 |