| NPI | 1538286414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 15820) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 15820) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-02-11 |