NPI | 1588773311 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 04532) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 04532) |
Enumeration Date | 2006-08-29 |
Last Update Date | 2007-07-08 |