| NPI | 1376725341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225C00000X Rehabilitation Counselor (Licence: TX 00048019) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: LA 712) |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2007-12-03 |