| NPI | 1013211960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 84923) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM T-0136701) |
| Enumeration Date | 2011-01-07 |
| Last Update Date | 2023-06-30 |