| NPI | 1437628617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 1322) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 203073) |
| Enumeration Date | 2018-11-17 |
| Last Update Date | 2018-11-17 |