| NPI | 1265443147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TX 14130) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TX 14130TX) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2024-05-02 |