| NPI | 1932824620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TX 10520) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 235) |
| Enumeration Date | 2022-10-05 |
| Last Update Date | 2022-10-05 |