| NPI | 1396371167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 84332) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK 1763) |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2021-06-07 |