| NPI | 1659921914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 94592) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR A1909131) |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2025-04-19 |