| NPI | 1962791004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 66170) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 66170) |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2019-02-13 |