NPI | 1538811906 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 81914) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
101YM0800X Counselor, Mental Health (Licence: TX 81914) | |
Enumeration Date | 2022-01-26 |
Last Update Date | 2024-01-22 |