| NPI | 1508826009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 19584) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 19584) |
| 101YM0800X Counselor, Mental Health (Licence: TX 19584) | |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2016-07-27 |