| NPI | 1316213200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 203438) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 203438) |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2024-05-15 |