| NPI | 1669880274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 9861284-6009) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2014-07-27 |
| Last Update Date | 2016-07-19 |