| NPI | 1598049504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 71668) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39002301A) |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2019-02-22 |