| NPI | 1588106033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 81280) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 007682) |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2019-02-12 |