| NPI | 1285085522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 17985) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 98991) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2016-06-28 |