| NPI | 1538543830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 71119) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 71119) |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2024-05-17 |