| NPI | 1013204510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 70528) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0146541) |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2024-01-23 |