| NPI | 1841672904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 82238) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0174561) |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2019-07-25 |