| NPI | 1700371648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TX 69862) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 69862) |
| Enumeration Date | 2018-06-23 |
| Last Update Date | 2024-11-21 |