| NPI | 1588282735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 80908) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 80908) |
| 101YP2500X Counselor, Professional (Licence: TX 80908) | |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2021-12-03 |