| NPI | 1629369384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 65482) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 65482) |
| 101YM0800X Counselor, Mental Health (Licence: TX 65482) | |
| 101YP2500X Counselor, Professional (Licence: AZ 19369) | |
| 103T00000X Psychologist (Licence: TX 65482) | |
| 103TC1900X Psychologist, Counseling (Licence: TX 65482) | |
| 171M00000X Case Manager/Care Coordinator (Licence: TX 65482) | |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2020-12-21 |