| NPI | 1801323415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 87779) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH14752) |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2022-08-29 |