| NPI | 1760632293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701004396) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 17562) |
| Enumeration Date | 2008-09-20 |
| Last Update Date | 2008-10-03 |