| NPI | 1427364652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: UT 5555134-6009) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 5555134-6009) |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2011-12-09 |