| NPI | 1942608609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 69603) |
| 101YM0800X Counselor, Mental Health (Licence: TX 69603) | |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2023-02-03 |