| NPI | 1588464481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: SC 11020) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TX 92776) |
| Enumeration Date | 2025-03-18 |
| Last Update Date | 2025-07-21 |