| NPI | 1215551536 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 80759) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 80759) | 
| 101YS0200X Counselor, School (Licence: TX 80759) | |
| Enumeration Date | 2020-06-02 | 
| Last Update Date | 2024-04-30 |