| NPI | 1487423398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 73339) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH61465011) |
| Enumeration Date | 2023-12-20 |
| Last Update Date | 2023-12-20 |