| NPI | 1689428989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 71516) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TX 71516) |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2024-07-19 |