| NPI | 1609225481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 2041) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NH 2041) |
| 101Y00000X Counselor (Licence: TX 72124) | |
| 101YM0800X Counselor, Mental Health (Licence: TX 72124) | |
| Enumeration Date | 2016-06-12 |
| Last Update Date | 2018-03-17 |