| NPI | 1548935505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD 27783) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 119755) |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2026-07-15 |