| NPI | 1508223272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 71916) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: TX 00116546) |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2016-01-26 |