| NPI | 1962876508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 71160) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 71160) |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2016-06-02 |