NPI | 1801323415 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 87779) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH14752) |
Enumeration Date | 2017-05-12 |
Last Update Date | 2022-08-29 |