| NPI | 1902382039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 74401) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 74401) |
| 101YM0800X Counselor, Mental Health (Licence: TX 74401) | |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2023-06-30 |