| NPI | 1174379333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 86889) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM CTB-2024-0368) |
| Enumeration Date | 2024-04-29 |
| Last Update Date | 2024-07-23 |