| NPI | 1295084655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 67868) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 67868) |
| 101YM0800X Counselor Mental Health (Licence: TX 67868) | |
| Enumeration Date | 2012-08-31 |
| Last Update Date | 2013-01-16 |