| NPI | 1346607926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO LPC.0013457) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 72132) |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2016-12-06 |