| NPI | 1124320635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 82770) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 5928) |
| Enumeration Date | 2010-12-03 |
| Last Update Date | 2019-11-14 |