| NPI | 1952674616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 68706) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60247859) |
| 101YM0800X Counselor, Mental Health (Licence: TX 68706) | |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2023-06-23 |