| NPI | 1265766729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 81949) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ 15742) |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2019-06-03 |