| NPI | 1396367397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 82814) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NH 3432) |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2024-08-27 |