| NPI | 1346259561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 15792) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 00120) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2007-07-09 |