NPI | 1376921338 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 70164) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 70164) |
Enumeration Date | 2015-05-11 |
Last Update Date | 2022-03-04 |