| NPI | 1811210149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: 68087) |
| 101YP2500X Counselor, Professional (Licence: TX 68087) | |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2023-11-15 |