| NPI | 1063678084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 68577) |
| 101YM0800X Counselor, Mental Health (Licence: FL 12039) | |
| 101YP2500X Counselor, Professional (Licence: LA 3497) | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2017-11-10 |