| NPI | 1114662475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TX 81964) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 81964) |
| 101YP2500X Counselor Professional (Licence: TX 81964) | |
| Enumeration Date | 2022-05-02 |
| Last Update Date | 2023-12-20 |