| NPI | 1891251021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 9484395-6004) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 9484395-6009) |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2024-06-18 |