| NPI | 1659541092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 19940) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TX 19940) |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2019-11-13 |