| NPI | 1295846020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH11489) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX LPC 10722) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2012-11-07 |