| NPI | 1891260592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: UT 10785446-6004) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: UT 10785446-6009) |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2020-12-17 |