| NPI | 1720814254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR R10431) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 88443) |
| Enumeration Date | 2024-09-11 |
| Last Update Date | 2025-01-03 |