| NPI | 1710508288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TX 79059) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 79059) |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2024-05-25 |