| NPI | 1760758379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 74738) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0140551) |
| 101YP2500X Counselor, Professional (Licence: NM 0140551) | |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2016-05-02 |