| NPI | 1104077957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 17855) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 99063) |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2008-10-09 |