NPI | 1629506944 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 10228629-6009) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 10228629-6004) |
Enumeration Date | 2017-05-31 |
Last Update Date | 2025-03-05 |