| NPI | 1407490923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 87084) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH17400) |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2023-03-15 |