| NPI | 1669095154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional (Licence: TX 77021) | |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2024-02-15 |