| NPI | 1700945698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 14912) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 7145184-6004) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2014-02-03 |