| NPI | 1528202751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AL 1138) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 1272) |
| 101YS0200X Counselor School | |
| Enumeration Date | 2009-05-01 |
| Last Update Date | 2009-05-01 |