| NPI | 1316426315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 88446) |
| Additional Taxonomies | 247200000X Technician, Other (Licence: TX RBT-18-58017) |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2022-04-06 |