NPI | 1194483495 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 83122) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 83122) |
Enumeration Date | 2021-12-03 |
Last Update Date | 2022-10-11 |