| NPI | 1295967040 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 74489)  | 
| Additional Taxonomies | 101YS0200X Counselor, School | 
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2009-08-12 | 
| Last Update Date | 2022-11-03 |