| NPI | 1316658230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 89247) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM CTB-2022-0888) |
| 101YP2500X Counselor, Professional | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2022-12-12 |