| NPI | 1740984020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 85547) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 85547) |
| 102L00000X Psychoanalyst (Licence: TX 85547) | |
| Enumeration Date | 2023-03-29 |
| Last Update Date | 2023-03-29 |