| NPI | 1417218363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC0011875) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 69130) |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2016-08-07 |