| NPI | 1891814646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 63937) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0068462) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2011-04-11 |