| NPI | 1861192536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TX 69441) |
| Additional Taxonomies | 1041S0200X Social Worker School (Licence: TX 69441) |
| Enumeration Date | 2023-03-09 |
| Last Update Date | 2023-03-09 |