| NPI | 1518730258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 11739) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 88673) |
| Enumeration Date | 2023-11-03 |
| Last Update Date | 2023-11-03 |