| NPI | 1104061928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 72511) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 62093) |
| Enumeration Date | 2008-12-08 |
| Last Update Date | 2016-05-13 |