| NPI | 1205665163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 89500) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2024-07-30 |
| Last Update Date | 2025-05-08 |