| NPI | 1265996300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 11770839-6004) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID 1671133) |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2024-12-30 |