| NPI | 1376909440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0014065) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 74784) |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2018-06-27 |