| NPI | 1629838024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 94527) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH23064) |
| Enumeration Date | 2024-03-21 |
| Last Update Date | 2024-03-21 |