| NPI | 1275150849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 85995) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 002471-01) |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2021-08-24 |