| NPI | 1538181813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 66775) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LPC-1115) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2011-03-03 |