| NPI | 1336024272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 14229459-6004) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 90912) |
| Enumeration Date | 2025-08-08 |
| Last Update Date | 2025-08-08 |