NPI | 1639547144 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 71140) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 71140) |
Enumeration Date | 2015-09-14 |
Last Update Date | 2016-09-01 |