| NPI | 1619288024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 63664) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: HI 417) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2023-01-10 |