| NPI | 1801280649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 71051) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: 71051) |
| 101Y00000X Counselor | |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2023-09-11 |