| NPI | 1316168644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 17248) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX LSOTP 98507) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-11-19 |