| NPI | 1063804219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 8360609-6004) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 8360609-6009) |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2019-05-03 |