| NPI | 1023354925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 69803) |
| Enumeration Date | 2012-12-20 |
| Last Update Date | 2014-06-16 |