| NPI | 1679803449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 74754) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC 4606) |
| Enumeration Date | 2009-12-30 |
| Last Update Date | 2023-03-29 |