| NPI | 1730455171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 65770) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 65770) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2020-04-09 |