NPI | 1124590989 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH14074) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 82853) |
Enumeration Date | 2018-12-18 |
Last Update Date | 2020-08-04 |