NPI | 1467827345 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 80093) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701006410) |
Enumeration Date | 2015-12-03 |
Last Update Date | 2018-08-01 |