| NPI | 1770205403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 84233) |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2022-10-11 |