| NPI | 1720327802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 74261) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MT 2440) |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2016-01-19 |