| NPI | 1427318369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701005872) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 64798) |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2015-08-14 |