| NPI | 1053959908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 79941) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 79941) |
| 101YP2500X Counselor, Professional (Licence: TX 79941) | |
| 101YS0200X Counselor, School (Licence: TX 79941) | |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2024-06-12 |