| NPI | 1609299155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 94948) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0016071) |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2024-06-18 |