| NPI | 1720321227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 274171) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 274171) |
| 101YM0800X Counselor, Mental Health | |
| 101YM0800X Counselor, Mental Health (Licence: TX 274171) | |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2021-02-10 |