| NPI | 1598077281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: LA 3943) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 66491) |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2010-09-23 |