| NPI | 1487927844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 8208838-6004) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 82088386004) |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2020-04-01 |