| NPI | 1740405091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TX 12110) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 12110) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2010-01-29 |