| NPI | 1679052831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 10854940-6009) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 10854940-6004) |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2022-02-04 |