| NPI | 1609414077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 82830) |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2024-10-02 |