NPI | 1265707251 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 66340) |
Additional Taxonomies | 101Y00000X Counselor (Licence: TX 66340) |
251S00000X Community/Behavioral Health (Licence: TX 66340) | |
Enumeration Date | 2012-03-09 |
Last Update Date | 2023-05-25 |