| NPI | 1033501267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 72831) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0172391) |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2024-02-07 |