| NPI | 1447624242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 75277) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: HI MHC 373) |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2025-09-16 |