| NPI | 1659824506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 66827) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WV 2598) |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2024-12-10 |