| NPI | 1093118861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 1889) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 66051) |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2017-11-27 |