| NPI | 1396267761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 71164) |
| 101Y00000X Counselor (Licence: TX 71164) | |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2023-07-24 |