| NPI | 1942453782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TX 13936) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 13936) |
| Enumeration Date | 2008-10-24 |
| Last Update Date | 2008-10-24 |