NPI | 1841487162 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 3907) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 88142) |
101YP2500X Counselor, Professional (Licence: OK 3907) | |
Enumeration Date | 2007-10-01 |
Last Update Date | 2024-03-19 |