| NPI | 1174000483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 134254) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 204924) |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2024-06-10 |