| NPI | 1629027636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX L.P.C.6541) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 6541) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2018-10-11 |