| NPI | 1609665405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TX 89973) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TC1900X Psychologist Counseling | |
| Enumeration Date | 2025-05-06 |
| Last Update Date | 2025-05-06 |