| NPI | 1427172428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TX 14856) |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital (Licence: TX 14856) |
| Enumeration Date | 2007-03-17 |
| Last Update Date | 2007-07-08 |