| NPI | 1619992054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX LPC13288) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 13288) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2015-10-27 |