NPI | 1245524255 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA 2565) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 90230) |
Enumeration Date | 2011-06-07 |
Last Update Date | 2024-11-04 |