| NPI | 1942604707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 83956) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CT 4539) |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2024-12-04 |