| NPI | 1487963989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 73215) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 11618) |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2018-08-20 |