| NPI | 1467071639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 79522) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC14064) |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2023-08-01 |