| NPI | 1174293377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 86362) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 86362) |
| Enumeration Date | 2021-09-18 |
| Last Update Date | 2023-11-16 |