| NPI | 1285238543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 81587) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 00010627) |
| Enumeration Date | 2020-11-27 |
| Last Update Date | 2020-11-27 |