| NPI | 1447776893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 76336) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 76336) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional (Licence: TX 76336) | |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2023-04-24 |