| NPI | 1235392069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO 6043) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 19709) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2012-02-13 |