| NPI | 1194069849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 67808) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: 332831) |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2018-07-31 |