| NPI | 1124493218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 86068) |
| 101YM0800X Counselor, Mental Health (Licence: LA 7144) | |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2024-01-20 |