| NPI | 1427267954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 20030) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 20030) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-25 |