NPI | 1316607252 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 75069) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KS 3287) |
Enumeration Date | 2021-12-20 |
Last Update Date | 2021-12-20 |