| NPI | 1104377704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 86351) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH13206) |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2024-05-21 |