NPI | 1629334693 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: UT 6961006-6004) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 696100660) |
Enumeration Date | 2012-04-04 |
Last Update Date | 2018-03-17 |