| NPI | 1073288205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MS 2767) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 88663) |
| 101YM0800X Counselor, Mental Health (Licence: MS P-0130) | |
| Enumeration Date | 2021-08-10 |
| Last Update Date | 2023-01-21 |