| NPI | 1922031053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0093451) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 19389) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2023-12-07 |