| NPI | 1164029054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA 011365) |
| 101YM0800X Counselor, Mental Health (Licence: TX 18600) | |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2024-03-04 |