| NPI | 1952076325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 90105) |
| 101YP2500X Counselor, Professional (Licence: MO 2013018120) | |
| Enumeration Date | 2021-08-09 |
| Last Update Date | 2023-06-15 |