NPI | 1568105070 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 84431) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 84431) |
Enumeration Date | 2022-04-14 |
Last Update Date | 2023-02-09 |