| NPI | 1568178507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 85148) |
| 101YP2500X Counselor, Professional (Licence: TX 85148) | |
| Enumeration Date | 2023-01-24 |
| Last Update Date | 2023-03-09 |