| NPI | 1235656885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 80836) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1800908) |
| 101YP2500X Counselor, Professional (Licence: TX 80836) | |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2024-05-29 |