NPI | 1841765260 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 85262) |
Additional Taxonomies | 101Y00000X Counselor (Licence: KS 3417) |
104100000X Social Worker (Licence: KS 3417) | |
Enumeration Date | 2018-10-12 |
Last Update Date | 2024-10-22 |