| NPI | 1013476647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 75725) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 75725) |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2019-03-13 |