| NPI | 1427504851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 82795) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: HI MHC352) |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2019-12-02 |