| NPI | 1053475400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 88919) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: NM 294566) |
| 101YM0800X Counselor, Mental Health (Licence: NM CCMH0151581) | |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2022-07-30 |