| NPI | 1891576187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 93090) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 013945) |
| Enumeration Date | 2023-10-11 |
| Last Update Date | 2023-10-11 |