| NPI | 1447514815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A12169) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 68095) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2016-05-06 |