| NPI | 1720507577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 10248380-6004) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 100921) |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2026-04-20 |