| NPI | 1518507623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 0017419) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 83181) |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2022-06-29 |