| NPI | 1407526957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AR P2108009) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 78624) |
| Enumeration Date | 2021-09-16 |
| Last Update Date | 2021-09-16 |