| NPI | 1508267998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 69925) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C4522) |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2022-07-21 |