| NPI | 1912217746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 14676) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TX 14676) |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2024-07-08 |