| NPI | 1194437582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 92396) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 93296) |
| 101YP2500X Counselor, Professional (Licence: CO 0023312) | |
| Enumeration Date | 2022-12-19 |
| Last Update Date | 2025-05-29 |