| NPI | 1114198249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 72733) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2007011884) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2015-06-25 |