| NPI | 1962020412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 83733) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2023-03-03 |