| NPI | 1295094621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0140861) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 69927) |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2015-08-28 |