| NPI | 1205305810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 77642) |
| Additional Taxonomies | 101YS0200X Counselor, School |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2019-06-07 |