| NPI | 1639592843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 66956) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 66956) |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2016-12-27 |