| NPI | 1487017760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 37278) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 75504) |
| Enumeration Date | 2016-04-03 |
| Last Update Date | 2016-04-03 |