| NPI | 1831843093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 87483) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701016081) |
| Enumeration Date | 2022-02-07 |
| Last Update Date | 2026-04-10 |