| NPI | 1659056364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 85285) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 85285) |
| Enumeration Date | 2023-06-20 |
| Last Update Date | 2023-07-27 |