| NPI | 1558781815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 333550) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 11087) |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2014-04-24 |