| NPI | 1275838930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 88025) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NM 0080181) |
| 101Y00000X Counselor (Licence: TX 88025) | |
| 101YM0800X Counselor, Mental Health (Licence: NM 0080181) | |
| 101YM0800X Counselor, Mental Health (Licence: FL 3519) | |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2025-01-14 |