| NPI | 1730186438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 16654) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C4416) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2017-03-28 |