NPI | 1467923318 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 76751) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TX 76751) |
Enumeration Date | 2018-12-17 |
Last Update Date | 2020-02-15 |