| NPI | 1619552072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH20236) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 97134) |
| Enumeration Date | 2021-03-16 |
| Last Update Date | 2024-12-04 |