| NPI | 1619497716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 84568) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 37048) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2022-05-23 |