| NPI | 1043788466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 75916) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 75916) |
| 101YM0800X Counselor, Mental Health (Licence: VT 75916) | |
| Enumeration Date | 2018-11-03 |
| Last Update Date | 2021-09-23 |