| NPI | 1538038955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 99957) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0023955) |
| Enumeration Date | 2025-11-03 |
| Last Update Date | 2025-11-03 |