NPI | 1477827582 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA 3886) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 81972) |
Enumeration Date | 2012-03-07 |
Last Update Date | 2023-10-20 |