NPI | 1679021166 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 79257) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2014030086) |
101YP2500X Counselor, Professional (Licence: TX 79257) | |
Enumeration Date | 2016-09-14 |
Last Update Date | 2024-05-02 |