| NPI | 1912172966 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 19836) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 19836) | 
| Enumeration Date | 2008-04-29 | 
| Last Update Date | 2008-04-29 |