| NPI | 1528677242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 68491) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH24547) |
| 101YP2500X Counselor, Professional (Licence: TX 68491) | |
| 101YP2500X Counselor, Professional (Licence: WI 10649-125) | |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2024-11-22 |