| NPI | 1902201197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 76447) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD ATG084) |
| 101YM0800X Counselor, Mental Health (Licence: DC PRC14517) | |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2020-12-10 |