| NPI | 1245634518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 952624-6004) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 9526241-6004) |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2022-10-26 |