| 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 |