| NPI | 1154559474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 64058) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AR A0303022) |
| 101YP2500X Counselor, Professional (Licence: TX 64058) | |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2019-09-01 |