NPI | 1285895367 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 61353) |
Additional Taxonomies | 101Y00000X Counselor (Licence: TX 61353) |
101YM0800X Counselor, Mental Health (Licence: TX 61353) | |
Enumeration Date | 2008-06-20 |
Last Update Date | 2011-09-08 |