| NPI | 1043806607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0019457) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 81518) |
| Enumeration Date | 2020-12-17 |
| Last Update Date | 2024-08-14 |