| NPI | 1114996048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 74490) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM 0143411) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2019-05-16 |