| NPI | 1588130066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 81381) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2021-01-01 |