| NPI | 1306583752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 81982) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 81982) |
| 101YM0800X Counselor, Mental Health (Licence: TX 81982) | |
| Enumeration Date | 2022-05-17 |
| Last Update Date | 2024-02-22 |