| NPI | 1760049506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 79689) |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2024-09-10 |