| NPI | 1992216956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 73474) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 73474) |
| 101Y00000X Counselor (Licence: TX 73474) | |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2020-03-27 |