| NPI | 1184847782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 65342) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C1572) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2015-01-13 |