NPI | 1265075550 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH15876) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 91031) |
Enumeration Date | 2019-10-20 |
Last Update Date | 2023-04-10 |