NPI | 1477924280 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 65238) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TX 65238) |
Enumeration Date | 2015-10-20 |
Last Update Date | 2015-10-20 |