| NPI | 1093144032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX LPC 72235) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LPC-5397) |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2019-05-01 |