| NPI | 1184870974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 3656) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 19874) |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2008-08-12 |