NPI | 1659656601 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 65900) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 65900) |
Enumeration Date | 2011-10-20 |
Last Update Date | 2020-09-04 |