| NPI | 1538811906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 81914) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 101YM0800X Counselor Mental Health (Licence: TX 81914) | |
| Enumeration Date | 2022-01-26 |
| Last Update Date | 2024-01-22 |