| NPI | 1184106007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 75347) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 75347) |
| 101Y00000X Counselor (Licence: TX 75347) | |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2018-09-06 |