NPI | 1396117198 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 87689) |
101YM0800X Counselor, Mental Health (Licence: MA LMHC10001146) | |
Enumeration Date | 2015-10-20 |
Last Update Date | 2025-09-14 |