NPI | 1801177100 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 68042) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC-6091) |
Enumeration Date | 2011-08-31 |
Last Update Date | 2011-08-31 |