| NPI | 1750269197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 94580) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: PR 001682) |
| Enumeration Date | 2025-08-25 |
| Last Update Date | 2025-08-25 |