| NPI | 1942280557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: UT 346117-6004) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2021-01-11 |