| NPI | 1548490006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 8918) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 1076) |
| 101YM0800X Counselor, Mental Health (Licence: TX 745) | |
| Enumeration Date | 2009-07-19 |
| Last Update Date | 2009-07-19 |