| NPI | 1992276034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 7773) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 78834) |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2021-03-15 |