| NPI | 1134559388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 9569508-6009) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: UT 95695086009) | |
| Enumeration Date | 2013-11-24 |
| Last Update Date | 2022-07-21 |