| NPI | 1891289864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: UT 9296318-6004) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: UT 9296318-6004) |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2023-09-19 |