| NPI | 1316607252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 75069) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KS 3287) |
| Enumeration Date | 2021-12-20 |
| Last Update Date | 2021-12-20 |