| NPI | 1417291253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 65321) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC009671) |
| Enumeration Date | 2012-11-17 |
| Last Update Date | 2022-11-14 |