| NPI | 1225452527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 71577) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TX 71577) |
| Enumeration Date | 2014-02-07 |
| Last Update Date | 2022-01-19 |