NPI | 1689056863 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 70471) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK 12104) |
101YP2500X Counselor, Professional (Licence: TX 70471) | |
Enumeration Date | 2015-06-24 |
Last Update Date | 2025-02-20 |