| NPI | 1154514834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 62317) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 3391) |
| Enumeration Date | 2007-08-25 |
| Last Update Date | 2007-08-25 |