| NPI | 1831872902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 100375) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC61677637) |
| 101YM0800X Counselor, Mental Health (Licence: NM CTB-2026-0186) | |
| 101YM0800X Counselor, Mental Health (Licence: OR R11038) | |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2026-03-23 |