| NPI | 1245481126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0116761) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 63974) |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2008-10-09 |