| NPI | 1659041507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TN 5652) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TX 80922) |
| 101YP2500X Counselor Professional (Licence: TX 80922) | |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2022-04-13 |