| NPI | 1649975855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 89612) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TX 89612) |
| Enumeration Date | 2023-04-05 |
| Last Update Date | 2024-07-19 |