| NPI | 1336864560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 81355) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: 81355) |
| Enumeration Date | 2022-10-10 |
| Last Update Date | 2022-10-10 |