| NPI | 1396292207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 67474) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 67474) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2025-02-25 |