| NPI | 1477137719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 202044) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 202044) |
| Enumeration Date | 2021-05-12 |
| Last Update Date | 2021-05-12 |