| NPI | 1558915793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 69042) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TX 69042) |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2023-09-20 |