| NPI | 1548725351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 92368) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39003317A) |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2024-03-01 |