NPI | 1457612970 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV CP5035) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 98086) |
Enumeration Date | 2012-05-31 |
Last Update Date | 2025-07-03 |