| NPI | 1487380598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MT4942) |
| 101YM0800X Counselor, Mental Health (Licence: TX 204913) | |
| Enumeration Date | 2022-07-29 |
| Last Update Date | 2024-08-22 |