| NPI | 1710344866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 14190585-6009) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2025-07-24 |