| NPI | 1891388559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 203699) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 83774) |
| Enumeration Date | 2021-02-13 |
| Last Update Date | 2023-08-28 |