| NPI | 1275976292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: AR P1911139) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TN 6336) |
| 101YM0800X Counselor Mental Health (Licence: TX 88538) | |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2023-08-01 |