| NPI | 1710323936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 12694788-6004) |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2025-04-03 |