| NPI | 1629403092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 75049) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A9138) |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2016-05-20 |