| NPI | 1114507035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 82883) |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2023-07-07 |