| NPI | 1902081516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 61022) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 101YP2500X Counselor, Professional (Licence: TX 61022) | |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2023-09-18 |