NPI | 1225453392 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 69305) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TX 69305) |
Enumeration Date | 2014-02-26 |
Last Update Date | 2014-05-21 |