| NPI | 1669763306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 5910) |
| 101YM0800X Counselor, Mental Health (Licence: TX 83432) | |
| 251B00000X Case Management | |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2021-10-06 |