| NPI | 1578664975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 15988) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 15988) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2024-03-21 |