| NPI | 1245524255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA 2565) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 90230) |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2024-11-04 |