| NPI | 1467831586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 8208797-6004) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: UT 72153) |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2021-07-26 |