| NPI | 1407073042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 17385) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 17385) |
| 101YP2500X Counselor, Professional (Licence: TX 17385) | |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2025-04-10 |