| NPI | 1588031165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 69079) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: TX 90718) |
| Enumeration Date | 2015-08-30 |
| Last Update Date | 2016-12-27 |