| NPI | 1386911303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0016785) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 68566) |
| 101YP2500X Counselor, Professional (Licence: TX 68566) | |
| Enumeration Date | 2011-11-18 |
| Last Update Date | 2023-01-27 |