| NPI | 1154022143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 205457) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO MFTC.0014608) |
| Enumeration Date | 2023-03-15 |
| Last Update Date | 2025-01-06 |