| NPI | 1053790121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 71505) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH24485) |
| 101YM0800X Counselor, Mental Health (Licence: CO LPC.0021949) | |
| 101YP2500X Counselor, Professional (Licence: TX 71505) | |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2025-02-22 |