| NPI | 1619783396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 84421) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 10602) |
| Enumeration Date | 2024-12-06 |
| Last Update Date | 2025-05-07 |