| NPI | 1326473968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 83309636004) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 83309636009) |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2014-10-20 |