| NPI | 1639513831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 70746) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NY 05226) |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2013-12-11 |