| NPI | 1508297979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 66362) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 66362) |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2016-10-20 |