| NPI | 1609935014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 19859) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 37020) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2019-07-08 |