| NPI | 1003452988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 7478) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 82379) |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2021-08-22 |