| NPI | 1457883555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39002990A) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 84198) |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2021-01-14 |