| NPI | 1124139019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AR P1901005) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 62299) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2019-03-06 |