| NPI | 1811462559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA 12810) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TX 73137) |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2023-03-20 |