| NPI | 1275680688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX TDHS 09330) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 09330) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2007-07-08 |