| NPI | 1891540399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX 92318) |
| Enumeration Date | 2024-04-19 |
| Last Update Date | 2024-04-26 |