| NPI | 1114340742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 71105) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0163531) |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2023-08-24 |