| NPI | 1083256937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 81601) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 15161) |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2024-11-22 |