| NPI | 1265671846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 12668) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 65323) |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2017-01-26 |