| NPI | 1770253973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC16964) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 84764) |
| Enumeration Date | 2021-09-17 |
| Last Update Date | 2025-11-06 |