| NPI | 1588307599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 90586) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LAC-20332) |
| Enumeration Date | 2022-04-18 |
| Last Update Date | 2025-02-01 |