| NPI | 1932570850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 91535) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 91535) |
| 101Y00000X Counselor (Licence: LA PLC8371) | |
| 101YP2500X Counselor, Professional (Licence: LA 8371) | |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2024-05-09 |