| NPI | 1477608230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 70356) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 7799) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2013-11-19 |