| NPI | 1043542582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 82501) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC2718) |
| 101YP2500X Counselor, Professional (Licence: MD LC2718) | |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2024-06-13 |