| NPI | 1790462570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 86641) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL TPMC4535) |
| Enumeration Date | 2023-07-03 |
| Last Update Date | 2024-12-23 |