| NPI | 1669041604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: UT 11841969-6004) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: UT 11841969-6009) |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2022-12-21 |