| NPI | 1912476680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 74912) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 75912) |
| Enumeration Date | 2018-11-25 |
| Last Update Date | 2018-11-25 |