| NPI | 1750716205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 5605) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 67967) |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2014-01-08 |