NPI | 1285972059 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 72573) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AL 3098) |
Enumeration Date | 2013-01-29 |
Last Update Date | 2020-10-05 |