| NPI | 1750094702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 9578295-6009) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LAC-20229) |
| Enumeration Date | 2023-01-04 |
| Last Update Date | 2023-01-04 |