| NPI | 1801104914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 70323) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 8172) |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2021-05-07 |