NPI | 1770390668 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 13780912-6009) |
Additional Taxonomies | 101YS0200X Counselor, School (Licence: UT 773132) |
Enumeration Date | 2024-12-13 |
Last Update Date | 2024-12-13 |