| NPI | 1851993570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: TX CSPURL93) |
| Enumeration Date | 2020-11-09 |
| Last Update Date | 2020-11-09 |