| NPI | 1578013041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TX 91948) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 91948) |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2024-07-02 |