| NPI | 1972734390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH15855) |
| Additional Taxonomies | 101YP1600X Counselor Pastoral |
| 101YP2500X Counselor Professional (Licence: TX 69138) | |
| 101YP2500X Counselor Professional (Licence: NC 7677) | |
| Enumeration Date | 2009-08-03 |
| Last Update Date | 2023-10-02 |