| NPI | 1689056863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 70471) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TX 70471) |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2017-05-03 |