| NPI | 1457699969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 69467) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 69467) |
| 101YM0800X Counselor, Mental Health (Licence: TX 69467) | |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2014-11-16 |