| NPI | 1841301850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 08309) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX S13291) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |