| NPI | 1114795093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 93236) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 93236) |
| Enumeration Date | 2023-12-19 |
| Last Update Date | 2023-12-19 |