| NPI | 1730410564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 71308) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NM T0127361) |
| Enumeration Date | 2010-01-18 |
| Last Update Date | 2022-08-18 |