NPI | 1194093823 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 72728) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 72728) |
Enumeration Date | 2011-12-08 |
Last Update Date | 2024-04-30 |