| NPI | 1497197982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: UT 7522957-6004) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: UT 7522957-6004) |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2013-07-24 |