| NPI | 1902330996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 73624) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2025-01-28 |