| NPI | 1710009667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 3518) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 20219) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2021-10-06 |