| NPI | 1659751378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 0013992) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 74300) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2021-07-23 |