NPI | 1407136229 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 71849) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-20757) |
101YM0800X Counselor, Mental Health (Licence: ID LCPC-8529) | |
Enumeration Date | 2011-08-24 |
Last Update Date | 2022-10-25 |