| NPI | 1306922570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH8970) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX LP16545) |
| 101YP2500X Counselor, Professional (Licence: LA 7443) | |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2024-08-11 |