| NPI | 1023171337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 006711) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 16425) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2013-12-12 |