| NPI | 1245396944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 18924) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 204545) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2009-02-03 |