| NPI | 1467686402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TX 70524) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CO 0018885) |
| 101YM0800X Counselor Mental Health (Licence: NC 9715) | |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2023-11-28 |