| NPI | 1609136910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 6799117-6004) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 6799117-6009) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2019-09-19 |