| NPI | 1962384222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 13569447-6004) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 13569447-6009) |
| Enumeration Date | 2025-07-25 |
| Last Update Date | 2025-09-04 |