| NPI | 1013113901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 19260) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 19260) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2007-07-08 |