| NPI | 1376918177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 80994) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2015034351) |
| Enumeration Date | 2015-12-04 |
| Last Update Date | 2019-01-30 |