| NPI | 1396915476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 63832) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: TX 33822) |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2008-03-05 |