| NPI | 1326874520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 103803) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 0024250) |
| Enumeration Date | 2024-09-12 |
| Last Update Date | 2026-09-05 |