| NPI | 1689948275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TX 73809) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NM 014661) |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2015-07-22 |