NPI | 1467711994 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 5309) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 79590) |
Enumeration Date | 2012-05-03 |
Last Update Date | 2024-07-11 |