| NPI | 1104059054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 18781) |
| 101YM0800X Counselor, Mental Health (Licence: ID LCPC-4651) | |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2024-09-05 |