| NPI | 1275818585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 69052) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM T-0143001) |
| Enumeration Date | 2011-10-18 |
| Last Update Date | 2024-04-11 |