| NPI | 1891443016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 85375) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR R9465) |
| Enumeration Date | 2022-03-16 |
| Last Update Date | 2024-08-02 |