| NPI | 1235618075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 104732) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 0009921285) |
| 101YM0800X Counselor, Mental Health (Licence: CO 09926794) | |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2023-04-21 |