NPI | 1083980239 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: TX LPC #20146) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 65) |
101YP2500X Counselor, Professional (Licence: TX 20146) | |
Enumeration Date | 2012-03-31 |
Last Update Date | 2022-08-04 |