| NPI | 1629334693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: UT 6961006-6004) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: UT 696100660) |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2018-03-17 |