NPI | 1811015647 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0128131) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0110021) |
101YP2500X Counselor, Professional (Licence: TX 66211) | |
Enumeration Date | 2007-03-27 |
Last Update Date | 2011-05-18 |