| NPI | 1710623780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 81975) |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2022-06-24 |