| NPI | 1194114793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 78382) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: MS 178518) |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2018-03-17 |