| NPI | 1801177100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 68042) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC-6091) |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2011-08-31 |