| NPI | 1730710351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 82841) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN 3827) |
| Enumeration Date | 2020-02-02 |
| Last Update Date | 2020-04-17 |