NPI | 1609384577 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 88649) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 88649) |
101YS0200X Counselor, School (Licence: TX 88649) | |
Enumeration Date | 2018-01-13 |
Last Update Date | 2024-06-11 |