| NPI | 1265722003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 5718785-6004) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional (Licence: UT 57187856004) | |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2020-11-30 |