NPI | 1548497589 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 6478) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 16906) |
Enumeration Date | 2009-06-17 |
Last Update Date | 2022-07-21 |