| NPI | 1821274861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 63038) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WY 909) |
| Enumeration Date | 2008-01-19 |
| Last Update Date | 2008-01-19 |