NPI | 1720814254 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR R10431) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 88443) |
Enumeration Date | 2024-09-11 |
Last Update Date | 2025-01-03 |