| NPI | 1124321609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TX 64757) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TX 201343) |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2012-05-30 |