| NPI | 1033549829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 67496) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 67496) |
| 101YP2500X Counselor, Professional (Licence: CO 0017504) | |
| 101YP2500X Counselor, Professional (Licence: NY 012534) | |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2024-12-10 |