NPI | 1417678475 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 11706805-6004) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 11706805-6009) |
Enumeration Date | 2022-09-08 |
Last Update Date | 2023-03-23 |