| NPI | 1073833406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 64525) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 64525) |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2012-08-03 |