| NPI | 1811373178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 69819) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 99426) |
| Enumeration Date | 2015-08-09 |
| Last Update Date | 2015-08-09 |