| NPI | 1699077461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 6053262-6004) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: UT 6053262-6009) |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2014-11-07 |