| NPI | 1285995191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 67167) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 280030) |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2018-12-11 |