| NPI | 1457720237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 6250) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 6250) |
| 101YM0800X Counselor, Mental Health (Licence: TX 80185) | |
| 101YP2500X Counselor, Professional (Licence: TX 80185) | |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2021-09-23 |