NPI | 1710444328 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 75526) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TX 75526) |
Enumeration Date | 2019-03-01 |
Last Update Date | 2019-03-01 |