| NPI | 1447867908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 83964) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 83964) |
| 101Y00000X Counselor (Licence: VA 0701010036) | |
| 101YM0800X Counselor, Mental Health (Licence: TX 83964) | |
| 101YM0800X Counselor, Mental Health (Licence: VA 0701010036) | |
| 101YP2500X Counselor, Professional (Licence: VA 0701010036) | |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2023-04-28 |