| NPI | 1043503998 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YS0200X Counselor, School (Licence: TX 64789) | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 64789) | 
| Enumeration Date | 2011-05-25 | 
| Last Update Date | 2011-05-25 |