| NPI | 1679021166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TX 79257) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MO 2014030086) |
| 101YP2500X Counselor Professional (Licence: TX 79257) | |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2024-05-02 |