| NPI | 1073760500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 469) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 2022) |
| 101YM0800X Counselor, Mental Health (Licence: TX 3743) | |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2008-08-27 |