| NPI | 1467711994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 5309) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 79590) |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2019-07-23 |