| NPI | 1326477332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 75326) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC006935) |
| Enumeration Date | 2013-11-11 |
| Last Update Date | 2017-08-10 |