| NPI | 1609480250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 86422) |
| Additional Taxonomies | 225800000X Recreation Therapist (Licence: TX 65442) |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2024-05-03 |