| NPI | 1659795888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO ooo4900) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 09128) |
| Enumeration Date | 2014-02-07 |
| Last Update Date | 2014-02-07 |