| NPI | 1467889865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 68056) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TX 68056) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX 68056) | |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2018-03-29 |