| NPI | 1417695446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TX 83933) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: TX 83933) |
| Enumeration Date | 2022-05-20 |
| Last Update Date | 2023-04-17 |