| NPI | 1760648836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 86645) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC2763) |
| 101YM0800X Counselor, Mental Health (Licence: TX 86645) | |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2025-09-18 |