| NPI | 1316189491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 992151) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 62691) |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2016-11-04 |