| NPI | 1619351814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 71838) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 71838) |
| 101YP1600X Counselor, Pastoral (Licence: TX 71838) | |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2015-07-17 |