| NPI | 1831475193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 64187) |
| Additional Taxonomies | 101YS0200X Counselor, School |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2022-10-18 |