| NPI | 1568828523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 82346) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 1287) |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2019-10-23 |