| NPI | 1548237605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 75774) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH0003471) |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2019-05-24 |