| NPI | 1083879977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 80130) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701004358) |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2019-08-27 |