| NPI | 1346548336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 75042) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P79057) |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2016-04-23 |