| NPI | 1972136232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 85002) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ 21611) |
| 101YM0800X Counselor, Mental Health (Licence: SD 20537) | |
| Enumeration Date | 2020-02-14 |
| Last Update Date | 2023-07-03 |