| NPI | 1063792059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 63963) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 63963) |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2024-05-29 |