| NPI | 1760818090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 174121) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 62507) |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2018-02-26 |