| NPI | 1598842072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 9943) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 01112) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |