NPI | 1710465497 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 80104) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 80104) |
225C00000X Rehabilitation Counselor (Licence: TX 40401) | |
Enumeration Date | 2018-08-03 |
Last Update Date | 2018-08-03 |