| NPI | 1922201144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 61020) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 61020) |
| 101YP2500X Counselor, Professional (Licence: TX 61020) | |
| 101YS0200X Counselor, School (Licence: TX 61020) | |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2024-06-25 |