| NPI | 1568887032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 80500) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH 9483) |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2022-07-27 |