| NPI | 1215566070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 78672) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2022-09-27 |