| NPI | 1952479941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 64063) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR A0611079) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2012-12-03 |