| NPI | 1528621430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA 10148) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 77505) |
| 101YP2500X Counselor, Professional (Licence: TX 77505) | |
| 101YP2500X Counselor, Professional (Licence: LA 10148) | |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2024-09-25 |