| NPI | 1336386069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 20342) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 20342) |
| 101YM0800X Counselor Mental Health (Licence: TX 20342) | |
| 101YS0200X Counselor School (Licence: TX 20342) | |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2009-01-16 |