| NPI | 1326416579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 70799) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 202552) |
| Enumeration Date | 2015-09-04 |
| Last Update Date | 2015-09-04 |