| NPI | 1689282360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 79399) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 79399) |
| 101YM0800X Counselor, Mental Health (Licence: TX 79399) | |
| Enumeration Date | 2020-07-17 |
| Last Update Date | 2020-07-19 |