| NPI | 1033738216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 89330) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0015727) |
| 101YP2500X Counselor, Professional (Licence: TN 4959) | |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2023-04-17 |