| NPI | 1184349383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 90175) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 90175) |
| 101YP2500X Counselor, Professional (Licence: TX 90175) | |
| Enumeration Date | 2022-10-10 |
| Last Update Date | 2024-11-13 |