| NPI | 1750470779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 3018-LPC) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 18898-LPC) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2008-03-26 |