| NPI | 1720560915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 10403346-6004) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 10403346-6009) |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2022-03-21 |