| NPI | 1477164754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 123643876004) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2024-08-26 |