| NPI | 1366942880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 10694435-6004) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 10694435-6009) |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2020-09-30 |