| NPI | 1871837278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 11292) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 69617) |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2012-11-26 |