| NPI | 1336830488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 96894) |
| Enumeration Date | 2023-05-18 |
| Last Update Date | 2024-10-25 |