| NPI | 1922464585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 11336132-6009) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2024-05-14 |