NPI | 1336401066 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LPC 23) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 64331) |
Enumeration Date | 2012-06-08 |
Last Update Date | 2012-06-13 |