| NPI | 1639277064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TX 16499) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 16499) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2024-06-28 |