| NPI | 1457590259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 60904) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 60904) |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2010-09-08 |