| NPI | 1104023274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 60417) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 60417) |
| Enumeration Date | 2007-06-30 |
| Last Update Date | 2010-11-05 |