| NPI | 1497965933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 6513) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: TX 24597) |
| 1041C0700X Social Worker, Clinical (Licence: TX 02398) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-07-08 |