| NPI | 1275123051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 5388) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 91842) |
| Enumeration Date | 2021-01-25 |
| Last Update Date | 2023-09-13 |