| NPI | 1124551254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC011920) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 76004) |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2024-09-18 |