| NPI | 1649804154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 66737) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TX 66737) |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2024-02-03 |