| NPI | 1588028500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 74307) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 74307) |
| 101YM0800X Counselor Mental Health (Licence: TX 74307) | |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2019-05-09 |