| NPI | 1487829040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 17753) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX S22568) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2008-04-24 |