| NPI | 1356882013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 7121) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 94975) |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2024-10-27 |