| NPI | 1629284583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 57947) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 407) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2022-06-01 |