| NPI | 1396325544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 89506) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.017322) |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2025-11-24 |