| NPI | 1326335878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TX 64301) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: TX 64301) |
| 101YP1600X Counselor Pastoral (Licence: TX 64301) | |
| 101YP2500X Counselor Professional (Licence: TX 64301) | |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2012-07-16 |