| NPI | 1114390531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 71650) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 202182) |
| Enumeration Date | 2015-11-06 |
| Last Update Date | 2015-11-06 |