NPI | 1154491157 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 17269) |
Additional Taxonomies | 101Y00000X Counselor (Licence: TX 17269) |
101YM0800X Counselor, Mental Health (Licence: TX 17269) | |
Enumeration Date | 2006-11-08 |
Last Update Date | 2016-10-19 |