| NPI | 1295965382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 60525) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: TX 846040) |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2009-07-23 |