| NPI | 1609207505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 71690) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 202082) |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2022-07-21 |