| NPI | 1114277118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 80058) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC 8158) |
| 101Y00000X Counselor (Licence: SD 7294) | |
| 101Y00000X Counselor (Licence: TX 80058) | |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2024-01-25 |