| NPI | 1871867176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TX 63523) |
| 101YP2500X Counselor Professional (Licence: TX 63523) | |
| Enumeration Date | 2012-03-04 |
| Last Update Date | 2021-08-16 |