| NPI | 1417318239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 10318036-6004) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 10318036-6009) |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2021-06-30 |