| NPI | 1275893869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 69128) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2019-02-28 |