| NPI | 1023772266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0019769) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 95240) |
| Enumeration Date | 2021-10-25 |
| Last Update Date | 2024-06-12 |