NPI | 1366011538 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: TX 40379) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 82875) |
Enumeration Date | 2021-06-22 |
Last Update Date | 2024-09-21 |