NPI | 1568906972 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 72301) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 72301) |
Enumeration Date | 2016-12-05 |
Last Update Date | 2023-06-01 |