| NPI | 1871862292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 17921) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 2761) |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2014-10-09 |