NPI | 1659751378 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 0013992) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 74300) |
Enumeration Date | 2015-06-08 |
Last Update Date | 2021-07-23 |