| NPI | 1912758715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 82286) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH12199) |
| Enumeration Date | 2024-03-29 |
| Last Update Date | 2024-05-13 |