| NPI | 1588101455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 70846) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TX 202056) |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2021-05-21 |