| NPI | 1225654692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 77598) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 202984) |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2021-01-25 |