| NPI | 1124536651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX LPC81346) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 81346) |
| 101YP2500X Counselor, Professional (Licence: NC A13541) | |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2023-05-17 |