| NPI | 1013523869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 58040) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TX 58040) |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2020-09-17 |