| NPI | 1619161056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 61108) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 61108) |
| 101Y00000X Counselor (Licence: TX 61108) | |
| 225C00000X Rehabilitation Counselor (Licence: TX 00072125) | |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2015-02-17 |