| NPI | 1720367071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX TDSHS2868) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 2868) |
| 101YM0800X Counselor, Mental Health (Licence: TX TDSHS2686) | |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2011-08-04 |