| NPI | 1679151229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TX 82531) |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2024-03-04 |