| NPI | 1912384371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 82047) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 6185) |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2019-09-25 |