| NPI | 1982326930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TX 85585) |
| Enumeration Date | 2022-09-15 |
| Last Update Date | 2024-02-03 |