| NPI | 1063626869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 67395) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: TX 29035) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2011-05-25 |