| NPI | 1275654196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 65677) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK 3034) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2010-06-23 |