| NPI | 1790249639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 72903) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 72903) |
| 101YP2500X Counselor, Professional (Licence: TX 72903) | |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2019-12-27 |