| NPI | 1124414057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 150364895) |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2025-10-17 |