| NPI | 1467643577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 18160) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 18160) |
| 101YM0800X Counselor, Mental Health (Licence: TX 18160) | |
| 163W00000X Registered Nurse (Licence: TX 239890) | |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-08-05 |