| NPI | 1649494436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 17154) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH14791) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2023-07-19 |