| NPI | 1356772289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 4489) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 75801) |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2017-03-21 |