| NPI | 1215072392 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 87540) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0162531) | 
| 101YM0800X Counselor, Mental Health (Licence: NH 327) | |
| Enumeration Date | 2007-02-20 | 
| Last Update Date | 2025-06-27 |