| NPI | 1942967609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: SD LPC-MH30629) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TX LPC93310) |
| Enumeration Date | 2021-11-17 |
| Last Update Date | 2024-02-06 |