| NPI | 1588675367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 15630) |
| 101Y00000X Counselor | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2025-09-11 |