| NPI | 1548666761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 85984) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2014-11-16 |
| Last Update Date | 2025-07-25 |