| NPI | 1376793711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 6758) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 19185) |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2008-09-23 |