| NPI | 1114116837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 59741) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: TX 32927) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2009-04-07 |