| NPI | 1114533833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA 8446) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TX 67345) |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2023-04-08 |