| NPI | 1811396823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 83439) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0191301) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2022-03-08 |