| NPI | 1245581685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 80867) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 80867) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional (Licence: WI 1545-226) | |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2023-06-05 |