| NPI | 1730926791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 91171) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 0021980) |
| Enumeration Date | 2024-07-09 |
| Last Update Date | 2025-04-18 |