| NPI | 1215312699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 73032) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2018-03-17 |