| NPI | 1376314724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 88953) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TX 88953) |
| Enumeration Date | 2024-01-15 |
| Last Update Date | 2024-09-13 |