| NPI | 1477442739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 97294) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 014381) |
| Enumeration Date | 2025-07-01 |
| Last Update Date | 2025-08-26 |