| NPI | 1730258435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 16691) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 16691) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2024-05-09 |