| NPI | 1407051071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 61349) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 61349) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2024-04-09 |