NPI | 1295488617 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM CMH0216691) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 85139) |
Enumeration Date | 2022-01-27 |
Last Update Date | 2024-06-07 |