| NPI | 1699937185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C6432) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 75381) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2022-10-03 |