| NPI | 1578636015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 81766) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK 4103) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2019-05-24 |