| NPI | 1164941274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 203006) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 203006) |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2023-11-15 |