| NPI | 1265996300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 11770839-6004) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 0021918) |
| 101YM0800X Counselor, Mental Health (Licence: ID 1671133) | |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2025-09-17 |