NPI | 1639786635 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 79682) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 79682) |
Enumeration Date | 2020-09-24 |
Last Update Date | 2025-05-13 |