| NPI | 1669090205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 11751015-6004) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 80090) |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2021-05-04 |