| NPI | 1932656006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 12467) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 79766) |
| 101YM0800X Counselor, Mental Health (Licence: SC 9924) | |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2025-10-03 |