| NPI | 1275930331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: UT 13262428-6004) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 132624286009) |
| Enumeration Date | 2014-12-04 |
| Last Update Date | 2025-11-20 |