| NPI | 1629129507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX NCC33749) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX LPC8836) |
| 101YP2500X Counselor, Professional (Licence: TX LMFT428) | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2007-07-08 |