| NPI | 1225361231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 91316) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401011350) |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2024-05-31 |