NPI | 1306580030 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 83378) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AR P2410007) |
101YM0800X Counselor, Mental Health (Licence: MA LMHC10004806) | |
Enumeration Date | 2022-04-27 |
Last Update Date | 2025-09-09 |