| NPI | 1336977354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 16344) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 72994) |
| Enumeration Date | 2024-07-22 |
| Last Update Date | 2024-07-22 |