| NPI | 1578824223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 70914) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P83212) |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2014-05-23 |