| NPI | 1285972059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 72573) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AL 3098) |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2020-10-05 |