| NPI | 1467989806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 80044) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN 3708) |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2020-06-28 |