| NPI | 1548613888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 12838) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 82404) |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2023-09-25 |