| NPI | 1083951586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 66572) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 99297) |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2014-05-07 |