| NPI | 1770654303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 95179) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 075979) |
| 101YP2500X Counselor, Professional | |
| 101Y00000X Counselor | |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2024-07-05 |