| NPI | 1699443671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 82880) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 82880) |
| Enumeration Date | 2021-09-02 |
| Last Update Date | 2024-06-21 |