| NPI | 1376737379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 62684) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA 005996) |
| Enumeration Date | 2007-09-02 |
| Last Update Date | 2021-04-06 |