| NPI | 1043829575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 126828) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 84756) |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2025-11-12 |