| NPI | 1619614518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TX 84053) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 84053) |
| Enumeration Date | 2022-05-12 |
| Last Update Date | 2024-02-29 |