NPI | 1932939394 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 88908) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 88908) |
103TS0200X Psychologist, School (Licence: TX 33141) | |
Enumeration Date | 2024-08-01 |
Last Update Date | 2024-08-02 |