| NPI | 1124331285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 70747) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2009007068) |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2013-07-09 |