| NPI | 1487280897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 79984) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 0017465) |
| Enumeration Date | 2020-03-17 |
| Last Update Date | 2022-01-14 |