| NPI | 1356944474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 96149) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA Y6536080) |
| 101YM0800X Counselor, Mental Health (Licence: UT 95440686009) | |
| Enumeration Date | 2020-11-19 |
| Last Update Date | 2025-01-16 |