| NPI | 1518005446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2012003369) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 18706) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2012-02-14 |