| NPI | 1437798972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 17289) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 17289) |
| 101YM0800X Counselor, Mental Health (Licence: FL 20308) | |
| Enumeration Date | 2020-01-01 |
| Last Update Date | 2024-02-02 |