| NPI | 1497990337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 62665) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 8647) |
| Enumeration Date | 2008-12-05 |
| Last Update Date | 2011-08-01 |