| NPI | 1629506944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 10228629-6009) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 10228629-6004) |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2025-03-05 |