| NPI | 1477237584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TX 91568) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TN 0000005765) |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2024-03-22 |