| NPI | 1013228600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 18548) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH 3045) |
| 101Y00000X Counselor (Licence: NC NCC 33945) | |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2020-06-08 |