| NPI | 1629681572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 14017207-6004) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH19582) |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2024-11-04 |