| NPI | 1023759735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 84266) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL TPMC4794) |
| 101YP2500X Counselor, Professional (Licence: CO 0021403) | |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2025-03-20 |