| NPI | 1609372846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 83026) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID 1971092) |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2026-02-24 |