| NPI | 1801407929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 131826-3502) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: UT 131826-3502) |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-08-12 |