| NPI | 1912450768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 86626) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 072889) |
| 101YM0800X Counselor, Mental Health (Licence: TX 86626) | |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2024-03-11 |