| NPI | 1164929154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 76086) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: 76086) |
| 101Y00000X Counselor (Licence: 76086) | |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2021-09-09 |