| NPI | 1376188441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TX 71913) |
| Additional Taxonomies | 101YS0200X Counselor School (Licence: TX 71913) |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2022-06-22 |