NPI | 1376023341 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 75609) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2018-08-18 |
Last Update Date | 2021-07-16 |