| NPI | 1518371731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 67571) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 99364) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2014-06-16 |