| NPI | 1235902420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C7001) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 80926) |
| Enumeration Date | 2023-10-31 |
| Last Update Date | 2023-10-31 |