| NPI | 1356790083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 70855) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 70855) |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2016-06-14 |