| NPI | 1376620237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 17877) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 17877) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2012-07-10 |