| NPI | 1548483118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 78447) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E3827) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2018-04-18 |