| NPI | 1720622178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 79847) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 79847) |
| 101YP1600X Counselor, Pastoral (Licence: TX 79847) | |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2019-10-29 |