| NPI | 1174926968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 9108528-6004) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 9108528-6009) |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2024-09-10 |