NPI | 1124219159 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 62639) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH 7492) |
Enumeration Date | 2007-08-06 |
Last Update Date | 2007-08-06 |