NPI | 1609471416 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 79701) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 79701) |
Enumeration Date | 2020-12-01 |
Last Update Date | 2024-01-24 |