| NPI | 1861722308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 4079) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 11860) |
| 101YS0200X Counselor, School (Licence: NM 285834) | |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2010-01-06 |