| NPI | 1366879140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 10242374-6004) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2013-10-11 |
| Last Update Date | 2025-08-27 |