| NPI | 1568706729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 69980) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AL 1988) |
| Enumeration Date | 2012-11-12 |
| Last Update Date | 2012-11-12 |