| NPI | 1790930188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 67724) |
| Enumeration Date | 2008-11-26 |
| Last Update Date | 2012-09-04 |