NPI | 1417496365 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 69223) |
Additional Taxonomies | 101Y00000X Counselor (Licence: TX 69223) |
101YM0800X Counselor, Mental Health (Licence: TX 69223) | |
Enumeration Date | 2017-02-13 |
Last Update Date | 2020-12-15 |