| NPI | 1215072392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 87540) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0162531) |
| 101YM0800X Counselor, Mental Health (Licence: NH 327) | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2023-11-08 |