| NPI | 1184925828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 8001374-6004) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2010-11-11 |
| Last Update Date | 2023-12-15 |