| NPI | 1316439144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 11799233-6004) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 1065620-6009) |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2023-11-28 |