| NPI | 1023383858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 65876) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: 11595) |
| Enumeration Date | 2012-03-12 |
| Last Update Date | 2012-03-12 |