| NPI | 1720635550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 11772612-6004) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2023-06-09 |