| NPI | 1689187791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 81675) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO NLC.0107879) |
| Enumeration Date | 2017-11-10 |
| Last Update Date | 2022-05-20 |