| NPI | 1629115043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX LPC12619) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX LCDC4317) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2007-07-08 |