| NPI | 1104002955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 73353) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: UT 5747654-6004) |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2015-06-08 |