| NPI | 1003354986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 86902) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 13978) |
| 101YM0800X Counselor, Mental Health (Licence: SC 7716) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2021-09-07 |