| NPI | 1942647110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 67956) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TX 67956) |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2018-01-18 |