NPI | 1194315549 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C10098) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 85136) |
Enumeration Date | 2021-01-20 |
Last Update Date | 2025-06-20 |