| NPI | 1982234647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 90353) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC011383) |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2023-09-06 |