| NPI | 1699244921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX LPC80320) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LPCC453) |
| 101YP2500X Counselor, Professional (Licence: TX 80320) | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2020-07-10 |