| NPI | 1356777445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 19731) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 2699) |
| Enumeration Date | 2013-09-20 |
| Last Update Date | 2013-09-20 |