| NPI | 1821981788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TX 98571) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IN 88002591A) |
| Enumeration Date | 2025-05-30 |
| Last Update Date | 2025-05-30 |