| NPI | 1790954022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 62813) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX T1423) |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2009-02-04 |