| NPI | 1699351650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 87536) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701010356) |
| Enumeration Date | 2021-03-21 |
| Last Update Date | 2022-06-15 |