NPI | 1285160036 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 009520) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 83921) |
103TH0004X Psychologist, Health | |
Enumeration Date | 2017-05-11 |
Last Update Date | 2024-06-10 |