| NPI | 1073723193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0131391) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 17526) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2010-05-14 |