| NPI | 1093151458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 66777) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 66777) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2014-02-21 |