| NPI | 1043461718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: UT 313308-6004) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: UT 313308-6004) |
| 101YM0800X Counselor Mental Health (Licence: UT 313308-6004) | |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2008-09-30 |