| NPI | 1326767161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 85353) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 204335) |
| Enumeration Date | 2022-08-24 |
| Last Update Date | 2024-01-19 |