| NPI | 1194315549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C10098) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 85136) |
| Enumeration Date | 2021-01-20 |
| Last Update Date | 2025-06-20 |