| NPI | 1396462396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 90046) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 90046) |
| 101YM0800X Counselor, Mental Health (Licence: TX 90046) | |
| Enumeration Date | 2022-10-21 |
| Last Update Date | 2025-04-01 |