| NPI | 1699328708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 91894) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH19592) |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2025-09-23 |