| NPI | 1578342366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 204089) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 117982) |
| Enumeration Date | 2023-09-21 |
| Last Update Date | 2023-09-21 |