| NPI | 1336176452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 62923) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 3655) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2012-07-18 |